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Lexington House

16 Heyman Lane, Alexandria, LA 71303 · For profit - Limited Liability company · 130 certified beds · (318) 442-4364 Medicare & Medicaid certified

Call the home — (318) 442-4364 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Jan 2026
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
Urgent care / clinic
146 Yorktown Dr · (318) 416-5060 · Call to confirm hours
Pharmacy
26 Heyman Ln · (318) 443-5810 · Call to confirm hours
Grocery
604 MacArthur Dr · (318) 445-4014 · Call to confirm hours
Park
3621 Bayou Rapides Rd · (318) 352-7446 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 1 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.7%17.8%15.4%worse
Long-stay residents who lose too much weight3.2%5.2%5.4%better
Long-stay residents with a catheter left in their bladder0.8%1.2%0.9%better
Long-stay residents with a urinary tract infection1.0%2.1%2.0%better
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.9%3.5%3.3%worse
Long-stay residents whose ability to walk worsened21.7%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication25.5%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers5.3%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control24.3%15.8%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table16.3%22.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication4.5%3.1%1.4%worse than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine90.7%76.3%79.4%better
Short-stay residents rehospitalized after admission26.8%28.0%22.6%worse
Short-stay residents with an outpatient ER visit14.2%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.792.561.67worse
Long-stay outpatient ER visits per 1,000 resident days2.652.741.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

33.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 71 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

33.5%U.S. median 51.5%
Got home and stayed home
12.9%U.S. median 10.7%
Went back to hospital
33.3%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 33.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 72 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF33.5%CMS range 23.4–45.651.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.9%CMS range 9.3–16.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge33.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge36.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.8%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization12.3%CMS range 8.6–17.67.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.461.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.34
RN hours/ resident / day
1.01
LPN hours/ resident / day
2.64
Aide hours/ resident / day
3.99
Total nurse hours/ resident / day
0.14
RN hoursweekends
47.9%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 130 beds and averages 106.6 residents a day — about 82% occupied, or roughly 23 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.64 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.54 hrs/resident/day on weekends vs 4.17 on weekdays — 15% thinner on weekends. RN hours go from 0.42 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2026-05-13)
8
at the previous standard inspection (2025-05-21)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · E2026-05-13 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure menus were followed in order to meet the nutritional needs of residents who required a puree diet. The facility failed to follow the established recipes to ensure the nutritional adequacy of the meal for all 18 residents who received a puree diet.Findings:Review of a facility policy on 05/11/2026 at 3:15 p.m. titled, Standardized Recipes with a review date of 05/2023 revealed the following in part . Standardized recipes are used in preparation of food of control of quality, quantity, and uniformity of product. 5. The director of food and nutrition services requires the food and nutrition service staff to follow the standardized recipes. Review of the facility's standardized recipe for puree steamed rice revealed the following in part .Preparation for rice according to regular recipe: 20 servings, 1 1/4 cups 3 tablespoons of whole milk and 3/4 cups of soft margarine. Place food in processor, process until smooth adding 1.5 tablespoons of margarine per portion. Review of the facility standardized recipe for puree…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-05-13 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to maintain a clean and sanitary kitchen to prevent the likelihood of foodborne illnesses and failed to store food in accordance with professional standards for food service safety. The facility census was 110. Findings: Review of a facility policy on 05/11/2026 at 3:15 p.m. titled, Food Storage Labeling with a review date of 05/2018 revealed the following in part .The facility will ensure the safety and quality of food by adhering to proper storage and labeling procedure. 1. Labelling: A. All temperature-controlled foods and ready-to-eat foods that are prepared in the facility and held for longer than twenty-four hours will be labelled. Information included on the label: Name of the food and date of storage. 3. Rotation: A. Identify the food item's use by date or expiration date. Store items with the earliest use by or expiration date in front of items with later dates. B. Foods stored in storage units will by surveyed routinely to identify and discard foods that have passed its manufacturer use by date or expiration date.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-13 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews the facility failed to ensure grievances/complaints had been documented and investigated. The facility failed to open a grievance/complaint investigation for 1 (#9) of 37 sampled residents. Findings:Review of policy titled Grievances with revision date of 06/11 revealed under the section Procedure:When a complaint or grievance is voiced, a Grievance/Complaint for will be completed by the Administrator or Department Head with follow-up as appropriate. Review of Resident #9's medical record revealed an initial admission date of 02/12/2026 with diagnoses that included, in part, Encounter for Surgical Aftercare Following Surgery on the Nervous System. Type 2 Diabetes Mellitus with Diabetic Polyneuropathy, Syncope and Collapse, and Muscle Weakness (Generalized.) Review of Resident #9's electronic health record (EHR) revealed a Nursing Note written by S8LPN on 04/06/2026 at 2:20 p.m. S8LPN's note stated that Resident #9's family relayed to the nurse that the resident did not want to be here because staff was 'mean and rude to her.' The note continued…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-13 · tag F0691 — failed to provide colostomy / ostomy care — isolated
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure that residents who required urostomy services received care consistent with professional standards of practice, as evidenced by the facility failing to ensure the physician's order for nephrostomy tube irrigation was followed for 1 (Resident #35) of 1 residents reviewed for catheter care. Total sample size: 37 Findings:Review of Resident # 35's medical record revealed an admission date of 02/27/2025, with diagnoses that included, in part.Encounter for Attention to other Artificial Openings of Urinary Tract; Chronic Kidney Disease, Stage 3; Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms; and Hydronephrosis with Renal and Ureteral Calculous Obstruction. Review of Resident # 35's Quarterly MDS with an ARD of 03/05/2026 revealed a BIMS score of 11, indicating moderate cognitive impairment. Resident #35 required supervision and/or touching assistance for toileting and personal hygiene. Review of Resident #35's Care Plan with a review date of 03/09/2026, read in part. Resident #35 has a diagnosis of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-13 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a resident's therapeutic diet was followed according to the physician's orders by failing to ensure a resident received double portion on her lunch tray for 1 resident (#14) in a total sample of 37 residents. Findings:Observation of Resident #14 during the lunch meal on 05/13/2026 at 11:45 a.m. revealed the resident was served one piece of chicken, instead of two pieces. Review of Resident #14's Electronic Health Record (EHR) revealed an admit date of 06/04/2021 and diagnoses that included in part, Type 2 Diabetes Mellitus with Hyperglycemia, Dementia in Other Diseases Classified Elsewhere, Severe, with Other Behavioral Disturbance, and Cognitive Communication Deficit. Review of the Physician's orders with a start date of 04/30/2026 revealed the diet ordered for Resident #14 was NSOT (No Salt on Tray) diet, Regular texture, Regular consistency, Double portion. Review of the resident's care plan also revealed the resident was identified with a potential for altered nutritional status.tries to take food…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-13 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that all mechanical, electrical, and patient care equipment were maintained in a safe operating condition for 1 (Resident #113) of 6 residents reviewed for physical environment. The total sample size was 37 residents.Review of facility policy with a last review date of 07/2025, titled Housekeeping Safety, revealed in part . Check for and report all defective equipment. Review of Resident #113's medical record revealed Resident #113 was admitted to the facility on [DATE] with diagnoses that included, in part., Parkinson's disease without Dyskinesia with Fluctuations, Neurocognitive Disorder with Lewy Bodies, and Essential Tremor. Review of Resident #113's Significant Change MDS with ARD 04/16/2026 revealed the resident had a BIMS score of 12, indicating moderate cognitive impairment. Resident #113 was dependent for all ADLs, including bed mobility. On 5/12/2026 at 8:45 a.m., observation revealed Resident #113 sitting up in bed with…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-07 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure reasonable accommodation of needs by failing to ensure the call light was accessible by a resident for 3 (Resident #2, Resident #3, and Resident R4) of 4 sampled residents.Review of the facility's policy titled Call Light/Bell revised 01/2024 revealed, in part.place the call light within the resident's reach before leaving the room.Resident #2Review of Resident #2's EMR revealed an admission date of 03/31/2022 with diagnoses including Hemiplegia and Hemiparesis, Generalized Muscle Weakness, Repeated Falls, and Personal History of Healed Traumatic Fracture.Review of Resident #2's Quarterly MDS with ARD of 10/07/2025 revealed a BIMS score of 13, indicating intact cognition. Resident #2 was dependent for toileting, hygiene, bathing, dressing, rolling, and transfers.Observation and interview of Resident #2 on 01/08/2026 at 8:54 a.m. revealed the call light was hanging off the left side of the bed, dangling below the bottom of the mattress. Resident #2 revealed she was unable to locate the call…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to complete a thorough investigation of an injury of unknown origin for 1 (Resident #1) of 4 sampled residents.Review of the facility's Critical Incident Report dated 12/08/2025 revealed Resident #1 complained of pain to her right lower extremity and x-rays revealed fractures of the tibial shaft and the proximal fibula. Statements were obtained from nursing staff who rendered care during the 48 hours prior to discovery of the injury. The facility substantiated an Injury of Unknown Origin.Review of the facility's policy titled Incident Investigation and Reporting revised 05/2024 revealed, in part.Criteria for an Injury of Unknown Origin include the source of the injury was not observed by any person, the source of the injury could not be explained by the resident, and the injury is suspicious due to the extent or location of the injury or the number of injuries at one time or the incidence of injury over time. In the event of an incident involving an allegation or suspicion of mistreatment, exploitation, neglect, abuse,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-06 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review the facility failed to ensure that each Resident was treated with respect and dignity and in an environment that promoted maintenance or enhancement of his or her quality of life for 1 (Resident #2) out of 3 (Resident #1, Resident #2, and Resident #3) sampled Residents, by failing to ensure staff displayed respect when speaking to Resident #2.Findings:Review of the facility's policy titled Dignity and Respect, with a revision date of 07/2022 revealed in part.A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or quality of life recognizing each residents individuality. The facility shall protect and promote the rights of the resident.1. Facility staff shall display respect when speaking with, caring for and talking about residents, as constant affirmation of their individuality and dignity as human beings.2. Each resident of the facility has the right to a dignified existence, self-determination, and communication…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-21 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure recipes for pureed diets were followed during meal preparation. This failed practice had the potential to affect 12 residents (#6, #11, # 36, #37, #46, #53, #58, #69, #71, #76, #85, and #101) who received pureed diets. Findings: Review of the Facility's lunch menu for 05/19/2025 revealed, in part .Barbeque ribs, macaroni and cheese, peas, green salad, and a roll. An observation on 05/19/2025 at 09:45 a.m. revealed a pan of pureed meat in the kitchen. S8 Dietary aide revealed meat was pureed prior to observation. S8 Dietary aide was observed pouring an unknown amount of peas in the electric food processor. S8 Dietary aide was observed not measuring portions or following the pureed recipe. Interview with S8 Dietary aide at that time revealed he eyeballs portions based on the pan he uses for pureed foods. S8 Dietary aide confirmed he does not follow recipes or measure portions when preparing pureed foods. Interview on 05/19/2025 at 09:47 a.m., S7 Dietary Manager confirmed S8 Dietary aide did not measure or follow…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Ecited before2025-05-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to maintain a clean and sanitary kitchen to prevent the likelihood of foodborne illnesses and failed to store, prepare, and serve food in accordance with professional standards for food service safety. The deficient practice had the potential to effect all of the residents who received meals from the kitchen. There were 115 residents who resided in the facility. The facility failed to ensure: 1. Food items in the pantry were labeled with an open date; 2. Staff were wearing hair restraints including beard restraints to prevent hair from contacting food; 3. Maintenance of a clean and sanitary kitchen at all times; and 4. Dishes were sanitized appropriately. Findings: 1. Observation on 05/19/2025 at 8:40 a.m. of the facility pantry revealed one undated, open bag of penne pasta. S7 Dietary Manager confirmed open food in pantry should be labeled with an open date and was not. 2. Observation on 05/19/2025 at 8:40 a.m. revealed S8 Dietary Aide had long facial hair with no use of a beard restraint. S8 Dietary Aide confirmed he was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure a resident received reasonable accommodation of needs by failing to ensure the call light was accessible by a resident for 1 (Resident #7) of 41 sampled residents. Findings: On 05/21/2025, Review of facility policy titled, Call Light/Bell, with revision date of 01/2024, revealed in part . Purpose: To provide the resident a means of communication with staff members. To provide staff members a means of summoning assistance when they are with the resident. Process: Ensure resident has call light in reach when in resident room . Leave the resident comfortable. Place the call light within the resident's reach before leaving the room . Resident #7 Review of Resident #7's electronic medical record revealed an admission date of 06/10/2022 with diagnoses that included: Type 2 Diabetes Mellitus with Hyperglycemia, Protein Calorie Malnutrition, Alzheimer's, Essential Primary Hypertension, Schizophrenia, Tachycardia, Edema, unspecified Dementia, severe with other behavior disturbances, History of Urinary Tract…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-21 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the SNF ABN Form CMS-10055 (Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage Form CMS-10055) was provided to the resident and/or the resident's responsible party prior to the discontinuation of Medicare Part A services for 2 (#34 and #61) of 2 residents reviewed for Beneficiary Notification who required the notification. Findings: Resident #34 Review of Resident #34's clinical record revealed the resident was being discharged from Physical and Occupational Therapy on 05/08/2025 due to non-compliance or refusal to participate in therapy with benefit days remaining. In an interview on 05/21/2025 at 4:00 p.m., S16 Accounts Manager reported Resident #34 was discharged from Skilled Services due to refusing to participate in therapy but remained in the facility. S16 Accounts Manager confirmed a SNF ABN, Form CMS-10055 was not provided to the resident or their responsible party prior to discharge from skilled services because she was unaware of the form or that it needed to be sent. Resident #61 Review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-21 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure the person-centered care plans were developed and implemented for 2 (#25 and #90) of 41 sampled residents. The facility failed to: 1. Ensure Resident #25 did not have a cigarette and lighter in his/her possession, as care planned; and 2. Ensure a care plan was developed timely for Resident #90 to address her known history of eating non-food items. Findings: Resident #25 Review of facility policy titled Smoking Policies and Regulation with a revision date of 10/2024, revealed in part . Cigarette lighters and matches are not permitted in a resident's room and will be kept at the nurses' stations. The facility will provide lighting devices and will light cigarettes upon request in designated areas set aside for smoking. Review of the electronic health record for Resident #25 revealed an original admit date of 11/06/2015 with a re-entry date of 10/23/2024 with diagnoses which included: Chronic Respiratory Failure with Hypoxia, Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease, Diabetes,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-21 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Resident #11 Review of Resident #11's medical record revealed an admit date of 02/28/2012 and a readmission date of 01/16/2023 with diagnoses that included in part .Chronic Respiratory Failure with Hypoxia, Dysphagia, Cognitive Communication Deficit, Stage 3 Chronic Kidney Disease and Pressure Ulcer of Sacral Region, Stage 3. Review of Resident #11's Significant Change MDS with an ARD of 05/01/2025 revealed a BIMS was not conducted because the resident was rarely or never understood. Further review revealed Resident #11 was dependent on staff with eating, toileting hygiene, rolling left and right, sitting to lying, and chair/bed to chair transferring. Review of Resident #11's current physician's orders revealed the following: 05/03/2025: Clean Stage 3 to sacrum with wound cleanser, pat dry, apply Santyl ointment to wound, and cover with a dermadress dressing every day until healed. Review of Resident #11's current care plan revealed the resident had a Stage 3 pressure ulcer to sacrum dated 03/27/2025. Interventions included: Administer treatments as ordered and observe for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide pharmaceutical services that assured accurate acquiring, receiving, dispensing and/or administration of medications to meet the needs of each resident. The facility had a total census of 115 residents. The facility failed to: 1. Ensure an accurate account for controlled medications was completed at the time of administering narcotics on 1 (Cart 4) of 4 (Cart 1, Cart 2, Cart 3, and Cart 4) medication carts for Resident #28; and 2. Ensure proper nursing procedures and documentation were completed at the time of wasting/destroying narcotics on 1 (Cart 1) of 4 (Cart 1, Cart 2, Cart 3, and Cart 4) medication carts for Resident #1 Findings: Review of a facility policy on [DATE] at 11:54 a.m. titled, Destruction of Unused, Expired or Discontinued Medications revised on 10/2019 revealed the following in part .1. Unused or discontinued non-controlled medications are to be destroyed by the Director of Nursing (DON) or designee and another…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-21 · tag F0807 — failed to offer suitable drinks — isolated
    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview the facility failed to provide fluids sufficient to maintain adequate hydration. The facility failed to provide a water pitcher or any fluid for hydration at the bedside to 1 (Resident #37) of 41 sampled residents. Findings: On 05/21/2025, Review of facility policy titled, Hydration Provision of Fluids for Residents, with a revision date of 05/2018, revealed in part . Policy: The facility ensures that all residents receive sufficient amounts of fluids based on individual needs to maintain proper hydration and health. Procedure: The Director of Food and Nutrition Services/consultant assesses fluid needs based on the following guidelines . A minimum of 2000cc's (cubic centimeter) per day while on antibiotic therapy for UTI . .The nursing assistants offer fluids every 2 hours to residents, unless restricted .A water pitcher with water and ice is placed by the bedside of all residents unless contraindicated (NPO (nothing by mouth), Fluid Restriction, etc.). Resident #37 Review of Resident # 37's electronic medical record revealed an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-07-31 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure services were provided to meet professional standards of quality by failing to ensure a resident with a UTI received timely and appropriate treatment for 1 (#1) of 3 (#1, #2, & #3) sampled residents reviewed for UTIs. Findings: Resident #1 Review of Resident #1's medical record revealed an admit date of 04/03/2018 with diagnoses that included in part .Unspecified Dementia, Urinary Tract Infection, Overactive Bladder, Uterovaginal Prolapse, and Anxiety disorder. Review of Resident #1's Significant Change MDS with an ARD of 06/22/2024 revealed a BIMS score of 9, which indicated the resident had moderate cognitive impairment. Review of the MDS revealed Resident #1 required substantial to maximal assistance with toileting hygiene, rolling left and right, sitting to lying, lying to sitting, sit to stand and chair/bed to chair transferring. Review of Resident #1's record revealed she was care planned for a history of UTIs and bladder spasms with an onset date of 07/07/2021. Interventions included administer medications as…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-13 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to maintain an effective pest control program by failing to ensure the facility was free from insects. The deficient practice had the potential to affect 113 residents who resided in the facility. Findings: Review of the facility's pest control service agreement revealed in part the following . The facility will be treated at least once monthly and/or as often as necessary to satisfactorily control said pest in the critical areas, such as food preparation areas, nursing stations, storage areas, offices, tv rooms, common areas, bathrooms and the eating areas. During an observation in the kitchen on 03/11/2024 at 8:30 a.m. (1) live insect was observed crawling across the steam table on the serving line. S4 Dietary Manager confirmed the presence of the insect crawling across the steam table and removed the insect at that time. S4 Dietary Manager stated the kitchen was last sprayed by pest control 3 weeks ago. During an observation on 03/11/2024 at 10:55 a.m., (2) live insects were observed crawling on the steam table serving line.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-13 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure a cognitively impaired resident was treated with respect and dignity and cared for in a manner that promotes enhancement of his or her own quality of life. The facility failed to ensure that thickened water placed in front of the resident was offered as a drink for 1 (Resident #11) resident reviewed for dignity in a total sample of 28. Findings: Review of a Quarterly MDS Assessment with an ARD of 01/23/2024 revealed Resident #11's BIMS was coded as 99, indicating severe cognitive impairment. Resident #11 required dependent assistance with eating, with no swallowing disorder. Review of Resident #11's Care Plan with a target date of 04/24/2024 revealed altered nutritional status, approaches included resident is on a therapeutic diet- total assist with meals, Diet- Pureed NSOT (no sugar on tray), Honey thickened liquids. Observation of Resident #11 on 03/11/2024 at 11:51 a.m. revealed the resident seated in the facility's dining room at a table. S6 Activity Staff sat a 7 oz. glass of thickened water in front of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations and interview, the facility failed to maintain a clean, comfortable, and homelike environment, by failing to ensure blinds were functioning properly in Room A. Total sample size 28. Findings: Observation of Room A on 03/11/2024 at 10:30 a.m., revealed a pair of closed wooden white window blinds with a stick hanging from the center. Interview with Resident #12 at the time of the observation revealed the blinds would not stay open. Resident #12 stated she liked to keep her door closed and the blinds open for sunlight. Observation of Room A on 03/12/2024 at 10:15 a.m., revealed the blinds were closed and would not stay open. Resident #12 stated by not being able to open the blinds, she had to leave her door open which kept her from taking naps during the daytime. Observation and interview with S7 Maintenance of Room A on 03/12/2024 at 2:45 p.m., confirmed the blinds were broken and needed to be replaced.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure that residents who were unable to carry out ADL's (Activities of Daily Living) received the necessary services to maintain good grooming and personal hygiene. The facility failed to provide nail care for 1 (Resident #13) of 28 residents sampled for ADL's. Findings: Review of the facility policy titled Nail Care with a review date of 01/2024 read in part .Purpose: To promote cleanliness, safety and a neat appearance. To observe skin condition on fingers and toes. Procedure: Document all appropriate information in the clinical record. Review of Resident #13's medical record revealed an admission date of 01/20/2020 with diagnoses that included in part .Type 2 Diabetes Mellitus with Hyperglycemia, Other Polyarthritis, Essential Hypertension, and Chronic Kidney Disease Stage 1. Review of Resident #13's Significant Change MDS with an ARD of 01/29/2024 revealed the resident had a BIMS score of 99 (resident was unable to complete assessment), required one person physical assistance with bed mobility, transfer,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to ensure that a Resident received treatment and care in accordance with professional standards of practice for 1 (Resident #20) of 28 Sampled Residents. The facility failed to ensure physician orders to treat a newly identified wound were transcribed into the resident's medical record, and failed to perform and document a wound assessment of the newly identified wound. Findings: Review of facility's policy titled Physician Orders dated 09/2023 read in part .All physicians' orders shall be recorded for each resident and must be signed or initialed by the attending/ prescribing physician or nurse practitioner, clinical nurse specialist, or physician assistant as appropriate and allowable per state practice act. Verbal or telephone orders are considered to be in writing when dictated or given by the attending physician and later signed or initialed by him / her. Telephone orders are to be received/transcribed by a nurse. Facility nursing staff shall enter physician orders into the electronic medical record. Review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-25 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to store and serve food in accordance with professional standards for food service safety for all 110 oral intake residents in the facility. Findings: Review of the facility's Ice Maker & Dispenser Cleaning Instructions revealed in part . Equipment shall be maintained in a clean and sanitary condition. Maintenance staff will perform cleaning. Review of the facility's Storage of Refrigerated Food policy revealed the following in part . The facility ensures the quality and safety of refrigerated foods through accepted storage practices. 11. Food shall be stored based on use-by expiration date and facility recommended food storage chart. Observation on 10/23/2023 at 9:30 a.m. with S1 Administrator and S5 Kitchen Staff revealed the kitchen's ice machine had pink mildew noted inside the ice storage area. S5 Kitchen Staff stated the ice machine had been serviced about a month ago. S1 Administrator confirmed the mildew in the ice machine and stated it should not be there. Observation at this time of the refrigerator in the kitchen area…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-25 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to treat residents with respect and dignity for 1 (Resident #4) of 4 (Resident #1, Resident #2, Resident #3, and Resident #4) residents reviewed for resident rights. Findings: Review of the facility Dignity and Respect Policy revealed the following including: A facility must treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life recognizing each resident's individuality. The facility shall protect and promote the rights of the resident. 1. Facility staff shall display respect when speaking with, caring for and talking about residents, as constant affirmation of their individuality and dignity as human beings. Observation on 10/23/2023 at 11:35 a.m. from the south end of Hall W of the facility revealed S3 CNA coming out of a resident's room on the north end of Hall W. S3 CNA was pushing the resident in her wheelchair. S3 CNA yelled down the hall to S4 CNA who was in the middle of Hall W that Resident #4, who…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE BEEBE FAMILY — 48 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.8-1.8 vs chain
Health inspection 2 of 53.0-1.0 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 1 of 52.0-1.0 vs chain
The other 47 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Gulfport Care CenterGulfport, MS 1 of 5Heritage Manor Of Baton Rouge IIBaton Rouge, LA 1 of 5Heritage Manor Of OpelousasOpelousas, LA 1 of 5Humphreys Co Nursing CenterBelzoni, MS 1 of 5Lawrence Co Nursing CenterMonticello, MS 1 of 5Riverview Care CenterBossier City, LA 1 of 5Southern Hills Healthcare And RehabilitationShreveport, LA 1 of 5The SummitAlexandria, LA 1 of 5Tishomingo ManorIuka, MS 2 of 5Attala County Nursing CenterKosciusko, MS 2 of 5Heritage Manor WestShreveport, LA 2 of 5Highland HomeRidgeland, MS 2 of 5Landmark Nursing Center HammondHammond, LA 2 of 5Landmark Of DesotoHorn Lake, MS 2 of 5Matthews Memorial Health Care CenterAlexandria, LA 2 of 5Myrtles Nursing Center, LLCColumbia, MS 2 of 5Perry County Nursing CenterRichton, MS 2 of 5Sardis Community NhSardis, MS 2 of 5Tunica County Health & Rehab, LLCTunica, MS 3 of 5Clarksdale Nursing CenterClarksdale, MS 3 of 5Copiah Living CenterCrystal Springs, MS 3 of 5Heritage Manor Of Ville PlatteVille Platte, LA 3 of 5Heritage Manor of HoumaHouma, LA 3 of 5J G Alexander Nursing CenterUnion, MS 3 of 5Landmark Of RayneRayne, LA 3 of 5Landmark of Baton RougeBaton Rouge, LA 3 of 5Landmark of Lake CharlesLake Charles, LA 3 of 5Senior Village Nursing & Rehabilitation CenterOpelousas, LA 3 of 5Washington Care CenterGreenville, MS 4 of 5Audubon Health and RehabThibodaux, LA 4 of 5Brandon CourtBrandon, MS 4 of 5Camellia EstatesMcComb, MS 4 of 5Forest Manor Nursing and Rehabilitation CenterCovington, LA 4 of 5Heritage House Nursing CenterVicksburg, MS 4 of 5Heritage Manor Of SlidellSlidell, LA 4 of 5Heritage Manor Of Stratmore Nursing & Rehab CtrShreveport, LA 4 of 5Heritage Manor SouthShreveport, LA 4 of 5Hillcrest Nursing CenterMagee, MS 4 of 5Landmark Of AcadianaSaint Martinville, LA 4 of 5Landmark Of CollinsCollins, MS

Showing 40 of 47; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
ELTON G BEEBE SR LIMITED PTRSHP TROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 01/01/2015
PARKINSON, TONIIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ACCOUNT MANAGEMENT SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ADMINISTRATIVE SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
PATHWAY MANAGEMENT OF LOUISIANA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2013
PROVIDER PROFESSIONAL SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
TRISTAR REHAB INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
BEEBE, BOBBYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2013
BEEBE, TRACYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2007
BUDDE, PRAVEENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/16/2021
MESHELL, COURTNEYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/30/2017
STELLA HOLSTON, MARGARETIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/02/2006
WILLIAMS, AUSTINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/07/2022
DIXON, DAVID RAYMONDIndividualTRUSTEE OF THE SNFsince 01/01/2007
GRAY, CHARLESIndividualTRUSTEE OF THE SNFsince 01/01/2007
EBBDR LLCOrganizationADP OF THE SNFsince 01/01/2025
ROBERT L. LEVY, D.D.S., L.L.C.OrganizationADP OF THE SNFsince 04/01/2018
VERDIN ENTERPRISES, LLCOrganizationADP OF THE SNFsince 11/01/2021

CMS files one row per role, so the 31 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$12.4M
Net patient revenuemost recent cost report
+9.2%
Operating marginrevenue minus expenses
$660K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 61%Medicare 12%Other / private 27%

This home reported $660K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$262per resident / day
operating cost
$7,979per month
≈ monthly operating cost
$289per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.

Typical monthly cost in Louisiana
$7,604/mo
Nursing home (semi-private)
$8,076/mo
Nursing home (private)
$5,163/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195424. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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